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[基于单室模型测量99mTc-MAG3血浆清除率(MPC法)在肾移植中的应用]

[Application of measuring 99mTc-MAG3 plasma clearance based on one-compartment model (MPC method) to renal transplantation].

作者信息

Koizumi K, Kawakami E, Fuse S, Yamazaki A, Inoue S, Saguchi T, Kozaki K, Nagao T, Abe K, Kakiuchi H

机构信息

Department of Radiology, Tokyo Medical University, Hachioji Medical Center.

出版信息

Kaku Igaku. 1999 Oct;36(8):809-17.

Abstract

Measurement of 99mTc-MAG3 plasma clearance (CLmag) based on one-compartment model (MPC method) was applied to renal transplantation and evaluated for the factors which might affect the calculated results, especially concerning renal depth. Correlation coefficient of CLmag between MPC method using real renal depth and Russell or Bubeck single sampling method was good (r = 0.852 or 0.876, respectively). Regression equation between MPC method and Russell method was y = 1.044x - 3.0 and was more closer to y = x than that between MPC method and Bubeck method. CLmag of MPC method calculated by estimated renal depth from the abdominal thickness was also similar to that by real renal depth. Even if the fixed renal depth, 4 cm, was applied, the coefficient and regression equation between MPC method and Russell method were r = 0.884 and y = 1.004x - 10.2. In conclusion, MPC method is applicable to the evaluation of renal transplants. Though measuring renal depth is best, calculation with fixed renal depth of 4 cm might be practically acceptable.

摘要

基于单室模型的99mTc-MAG3血浆清除率(CLmag)测量(MPC法)应用于肾移植,并对可能影响计算结果的因素进行评估,尤其是关于肾脏深度。使用实际肾脏深度的MPC法与Russell或Bubeck单样本法之间CLmag的相关系数良好(分别为r = 0.852或0.876)。MPC法与Russell法之间的回归方程为y = 1.044x - 3.0,比MPC法与Bubeck法之间的回归方程更接近y = x。通过腹部厚度估算的肾脏深度计算的MPC法的CLmag也与实际肾脏深度计算的相似。即使采用固定的肾脏深度4 cm,MPC法与Russell法之间的系数和回归方程分别为r = 0.884和y = 1.004x - 10.2。总之,MPC法适用于肾移植的评估。虽然测量肾脏深度最佳,但采用4 cm的固定肾脏深度进行计算在实际中可能是可以接受的。

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